24 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... ) stimulation test ... Differential #Diagnosis #Algorithm ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... 6-8AM Cortisol Level ... Test: Cosyntropin Stimulation ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... skin (due to high ACTH ... stimulating melanocytes ... findings (see algorithm ... #StimTest #Endocrinology
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Insufficiency - Pathophysiology ... be low, while ACTH ... Low ACTH leads to ... stimulation, thus ... #endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... Final cortisol level ... #endocrinology
Infographic depicting the main pearls of various types of congenital adrenal hyperplasia for the medical student.
of congenital adrenal ... #CAH #algorithm ... #causes #pediatrics ... treatment #Peds #Endocrinology ... #Adrenal #pathophysiology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... unclear (often the case ... Insufficiency #Diagnosis #Algorithm ... #ACTH #Stimulation ... #Test #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
stimulation test ... aldosterone - Low in cases ... stimulation test ... stimulation test ... diagnosis #testing #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... Tuberculosis: can cause ... • Low-grade fever ... stimulation test ... addisons #disease #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm ... pregnancy) Test 2: ACTH ... Stimulation - ... #endocrinology